
<div class="row">
	<div class="col-md-12">
		<!-- BEGIN SAMPLE FORM PORTLET-->
		<div class="portlet light">
			<div class="portlet-body">
				<form id="ajax-form" class="horizontal-form" name="ajaxForm">
					<div class="row">
						<div class="col-md-6">
							<div class="form-group">
								<label class="control-label">商户名称</label>
								<p class="form-control form-control-static"> {$info.name} </p>
							</div>
						</div>
						<div class="col-md-6">
							<div class="form-group">
								<label class="control-label">所属代理商</label>
								<p class="form-control form-control-static"> {$info.agentName} </p>
							</div>
						</div>
					</div>
					<div class="row">
						<div class="col-md-6">
							<div class="form-group">
								<label class="control-label">商户编号</label>
								<p class="form-control form-control-static"> {$info.code} </p>
							</div>
						</div>
						<div class="col-md-6">
							<div class="form-group">
								<label class="control-label">账号</label>
								<p class="form-control form-control-static"> {$info.loginName} </p>
							</div>
						</div>
					</div>
					<div class="row">
						<div class="col-md-6">
							<div class="form-group">
								<label class="control-label">经营类目</label>
								<p class="form-control form-control-static"> {$info.category} </p>
							</div>
						</div>
						<div class="col-md-6">
							<div class="form-group">
								<label class="control-label">商户类型</label>
								<p class="form-control form-control-static"> {$info.category} </p>
							</div>
						</div>
					</div>
					<div class="row">
						<div class="col-md-6">
							<div class="form-group">
								<label class="control-label">所在地区</label>
								<p class="form-control form-control-static"> {$info.province} - {$info.city} </p>
							</div>
						</div>
						<div class="col-md-6">
							<div class="form-group">
								<label class="control-label">手机号</label>
								<p class="form-control form-control-static"> {$info.phone} </p>
							</div>
						</div>
					</div>
				</form>
			</div>
		</div>
		<!-- END SAMPLE FORM PORTLET-->
	</div>
</div>